Does Texas Medicaid (statewide) cover dextromethorphan / guaifenesin / phenylephrine?
Texas Medicaid (statewide)
One statewide formulary · all Medicaid MCOs
dextromethorphan / guaifenesin / phenylephrine
dextromethorphan / guaifenesin / phenylephrineunder Texas Medicaid (statewide)
Covered — requires prior authorization
Your plan has to approve it first, and your prescriber sends in the reason — your doctor’s office handles it.
What you'd pay
$0for a covered prescription
Texas Medicaid charges no copay for a covered prescription.
- Approval first
- Required
- Try another first
- No
- Amount limit
- None
Talk to your pharmacist or doctor before acting on anything here. They can see your full history and this page cannot. Never start, stop, or switch a medication based on it. Coverage rules change and plans make exceptions — your pharmacy can check your exact benefit in seconds.As of Sep 23, 2026 · Texas VDP. Reference information, not medical advice and not a price.
Covered forms and strengths (3)
- dextromethorphan hydrobromide 1.2 MG/ML / guaifenesin 13.3 MG/ML / phenylephrine hydrochloride 0.667 MG/ML Oral SolutionApproval first
- dextromethorphan hydrobromide 17.5 MG / guaifenesin 400 MG / phenylephrine hydrochloride 10 MG Oral TabletApproval first
- dextromethorphan hydrobromide 2 MG/ML / guaifenesin 20 MG/ML / phenylephrine hydrochloride 1 MG/ML Oral SolutionApproval first
← All coverage for dextromethorphan / guaifenesin / phenylephrine